Enjoin · 8 hours ago
DRG Integrity Analyst (Remote)
United States
Full-time
Remote
Entry, Mid Level
2+ years expEnjoin is a leader in clinical documentation and coding excellence, helping healthcare organizations improve documentation quality and mitigate compliance risk. The DRG Integrity Analyst serves as the initial point of clinical and coding review for inpatient encounters, focusing on evaluating client charts to identify opportunities for DRG adjustments and ensuring alignment with coding guidelines and revenue integrity principles.
Document ManagementDocument PreparationEducationHealth CarePeer to Peer
Responsibilities
Perform initial, DRG-focused screening of all assigned inpatient charts using established workflows and screening protocols
Conduct high-level clinical and coding assessments to identify DRG risk, optimization opportunities, and documentation or coding misalignment
Evaluate key DRG drivers including principal diagnosis, principal procedures, CC/MCCs, clinical indicators, and sequencing considerations
Identify and appropriately triage cases with:
Potential DRG shifts
Missed or unsupported CC/MCCs
Documentation gaps impacting DRG assignment
Coding or sequencing concerns requiring further review
Advance charts with validated opportunity to Clinical Coding Analysts (CCAs) for detailed analysis and recommendation development
Apply screening criteria, clinical logic, and DRG methodology consistently to maintain accuracy, quality, and productivity standards
Clearly document screening outcomes and rationale for escalation or exclusion to support downstream efficiency and audit defensibility
Maintain required screening productivity levels while upholding clinical validity and coding guideline compliance
Partner with CCAs and leadership to align on best practices, workflow goals, and quality expectations
Communicate recurring trends, risks, or workflow barriers to leadership to support continuous process improvement
Qualification
Required
AHIMA (CCS, RHIT, RHIA, or CDIP) or ACDIS (CCDS) credential required
Minimum 2 years of experience with inpatient coding and/or inpatient clinical documentation integrity required
Working knowledge of MS-DRG methodology, including CC/MCC capture, principal diagnosis selection, and procedure-driven DRG assignment
Experience reviewing inpatient medical records within established workflows and productivity expectations
Ability to perform high-level clinical and coding assessments across a variety of inpatient case types
Strong attention to detail with the ability to follow structured, repeatable workflows
Ability to apply ICD-10-CM/PCS coding guidelines and Official Coding Guidelines at a screening and triage level
Strong written documentation skills with the ability to clearly articulate screening rationale and escalation decisions
Ability to work independently in a remote environment while meeting quality, accuracy, and productivity standards
Strong time management, organizational, and prioritization skills
Benefits
Full benefits (medical, vision, dental)
401(k)
Excellent PTO package plus 8 paid holidays
Laptop and other necessary equipment provided
Complimentary annual CEUs
“White glove” onboarding/training
Access to advanced educational coding tools / resources
Employee Wellness and Discount programs
Referral bonus program for coding and CDI experts
Company
Enjoin
Enjoin provides clinical documentation improvement solutions.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Garry L. Huff, M.D., CCS
President & CEO
James P. Fee MD, CCS, CCDS
CEO
Recent News
2025-06-12
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